nursing clinical informatics - suzanne brown

Suzanne Brown MSc HI, BNS (HONS), RGN, RM, Mater Misericordiae University Hospital

Nursing/Clinical Informatics Nursing/Clinical Informatics Leadership within a hospital Leadership within a hospital

setting – a beneficial setting – a beneficial relationshiprelationship

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Presentation Overview

• Hospital background

• Information Management Services Department

• Systems in use by nursing

• Conclusion


Hospital Overview

• Central Dublin hospital

• 600 beds

• 3000 employees

• National specialties

• Regional specialties

• Dublin Acadamic Medical Centre (DAMC)

• Acute Medicine Programme


• New Adult Development – Opening 2012– Proposed bed capacity 120 single rooms (replacement)– Emergency Department– Outpatient Department– 12 new Operating Theatres & 36 bedded ICU/HDU– Radiology Department– Catering Department– Soft Landing/Lean Processes

• National Paediatric Hospital– Proposed opening 2016– Location – Mater Campus

Hospital Overview – New Development


Information Management Services (IMS) Department

• Head of Information Management Services• System Analysis & Development• Applications Support• Network / Technical Support• Internet / Email Services• Web Services Manager• Management Information Reporting• Nursing Informatics/Development• Help Desk / Reception• Healthlink


ResourceScheduling/Monitoring

Quality/Metrics

Information and Workflow Model

Cost

PerformanceBudgeting

Outcomes

Integrated Nursing Information System - INISINIS

WorkloadDetermination/Allocation

Clinical DataDiagnosis/PlanHIS/EPRProtocolsGuidelinesResearchEducationPolicyFinancePlanning

Risk Management/Assessment Trends

Analysis

Review

CareDetermination/Planning


PatientCentre

A HIS system with the capacity to deliver a fully Electronic Patient Record (EPR)

A means of collecting and displaying all patient orders, results, images, documents etc.. Easily

September 2011 – NIMIS integration


Nurse Specialist Referrals

Breast Care 745Prosthetic Advice 10Patient Education 283New diagnosis breast cancer 43Post-Op Review 59Medication Advice 40Patient/Family Advice/Support 250Discharge planning 24Pre-Op Care 36

Grand Total 745

Number of Referrals by Reason

0

50

100

150

200

250

300

350

I/P Visit NURSE-LEDCLINIC

O/P Visit PHONE FROM PHONE TO

Cum ulative Tim e Spent on Visits by Visit Types


Nurse Specialists Using Referrals• Breast Care• Chest Pain Service• CTHDU• Diabetes/Endocrinology• ED Respiratory CNS’s• ENT Surgery• Gastroenterology• GI Oncology Upper• GI Oncology Lower• Heart Failure• Infectious Diseases• Lung Oncology

• Nephrology• Neurology• OPAT Service• Pain Management• Rapid Access Prostate

Service• Renal Day Unit• Respiratory• Rheumatology• Smoking Cessation• Stoma Care• Urodynamics


Rostering System


Bank Management System

• Developed in-house• Accessed throught Reports Module• Vacant ward shifts communicated to Bank office• Staff notify Bank office of their availability to work

overtime• Vacant shifts are filled by synchronising available

staff & ward vacancies as they occur


Workload Determination


Nursing Documentation

• Nursing documentation review group

• Assessment Form & Discharge Care Plan

• 2 month Pilot now completed

• Pre & Post pilot documentation audits

• Post pilot evaluation


Conclusion

• Lots going on

• Looking forward to busy 2012


Thank You

nursing clinical informatics - suzanne brown

Health & Medicine

patient documents

nursing conclusion

bank management system

patient letters

patient orders

scanned documents ed

wound care letters

rostering system